| Organization Name: | ROCKY MOUNTAIN CENTER FOR REPRODUCTIVE MEDICINE PC |
| NPI Number: | 1013129642 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CARLA H BOLDT (ADMINISTRATOR) |
| Mailing Address: | 1080 E Elizabeth St Ft Collins |
| State: | CO US |
| Postal Code: | 80524 |
| Phone Number: | 9704936353 |
| Fax Number: | 9704936366 |
| NPI Enumeration Date: | 05/04/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VE0102X |
| License Number: | 27514 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Reproductive Endocrinology |
| Taxonomy Definition: | An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |